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<br />WORKERS COMPENSATION EXPERIENCE RATING
<br />INCCf Risk Name; JOHNSON DAVIS INC Risk ID: 097182140
<br />Rating Effective Date: 03/01/2017 Production Date:. 10/24/2016 Stater FLORIDA
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<br />FL•A .20 244,07 •363;036 11014 147,565 60,200 288,.795. 141,230
<br />FL -D .26 9481 13,703 4,'522 0 601200 7,436 7,436
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<br />253,203
<br />376,739
<br />1.47,5.65
<br />60,200
<br />269,048
<br />121,.483
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<br />121,483-
<br />247;570
<br />38,367
<br />407,.420
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<br />Fadtors
<br />1.00 1
<br />.93
<br />RATI NG, REFLECTS A DECREASE OF 70% MEDICAL ONLY PRIMARY AND EXCESS LOSS
<br />DOLLARS' WH ERE ERA IS APPLI ED:
<br />Carrier: 15660=052 Policy:. WC210013500 Eff=Date: 03-01-201:6 Exp�Date: 03-01-2017
<br />OCopyright 74O 2016, -All rights reserve This produais compnsed of compllallons andmformetwn whip.h are The proprietary and exolustve,pmpedyof the National Council on
<br />Col.paAsa(turn hisurar ce, Iris. (NCCII. Ni, Nrtheruge; dIsieniirielion,.sele, trpfi§tbr, �s grvARntor dspo'silid"n of Ihig product: in whole br iri pait,'n%y be nidde'wshout It ie prioi,writlen
<br />consent of NCCI. This product is furnished *As is' As avaRable' -4111 of de'fecls' and includes Informatlon avepable at lhe'lime of publication only. NCCI mokas no represerdaliuns or
<br />warranties of any kind reldbng_to the produ. d—brid hereby ekpfes'srydi4delms bny andall ekpross; statutory, or Ifdp6ed warrontles, Inoprdind the Implied warranty oI morcheniebility, ritness
<br />for a parttoularpurpose, a6cu acy, completeness; cuirentriess, orcorieclness,of ariytniomialion or product furriished hereunder. Alfreslionsibiidy.for lire use of and forany end all results
<br />derived orobtained through the!�sa-ofthe product are the end user's andt4CCI-shell not have any fiabfily thereto
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